| Details of person responsible for booking and paying for this event |
|
Name
|
| |
CORENE VAN DER MERWE
|
|
Email
|
| |
cevdm7@gmail.com
|
|
Mobile Number
|
| |
+27829462193
|
|
Address
|
| |
Diaz str 11
Jeffreys Bay
Jeffreys Bay, Jeffreys Bay 6330
South Africa
Map It
|
|
Online Indemnity Form
|
| |
 I/We agree to the terms and conditions set out in this indemnity form
|
| Details of Event Attendees |
|
Attendee List
|
| |
|
Name
|
| |
CORENE VAN DER MERWE
|
|
Email
|
| |
cevdm7@gmail.com
|
|
Mobile Number
|
| |
+27829462193
|
|
Age
|
| |
68
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-183d1
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Off-Site Conference Attendee (R 1, 500 per person – includes all sessions and meals, but you’ll arrange your own accommodation)
|
1 |
R1,500.00 |
R1,500.00 |
| |
Sub Total |
R1,500.00
|
| |
Total |
R1,500.00 |
|
|
|
|
Is this a family or group booking? Would you like to stay in the same room?
|
| |
No
|
|
Booking Reference
|
| |
B-FC-PTA2025-420a9
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Total Booking Price
|
1 |
R1,500.00 |
R1,500.00 |
| |
Sub Total |
R1,500.00
|
| |
Total |
R1,500.00 |
|